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REPÚBLICA DE COLOMBIA
Declaración de Importación Privada 500
1. Año 2024
Espacio reservado para la DIAN (Antes de diligenciar este formulario lea cuidadosamente las instrucciones)
4. Número de formulario
032024001575146-6
5 . Número de Identificación Tributaria (NIT)
830028931
6 . DV.
5
11 . Apellidos y nombres o Razón Social
SAMSUNG ELECTRONICS COLOMBIA S.A.
13 . Dirección
CR 7 113 43 OF 607
15 . Teléfono
4870707
12 . Cód. Admón.
03
16 . Cód. Dpto
11
17 . Cód. Ciudad Municipio
001
24 . Número de Identificación Tributaria (NIT)
860536003
25 . DV.
3
26 . Razón social del declarante autorizado
AGENCIA DE ADUANAS ABC REPECEV S.A.S. NIVEL 1
27 . Tipo usuario
26
28 . Cód. usuario
99
29 . Número documento de identificación
102294385
30 . Apellidos y nombres
CARLOS ANDRES ROJAS MATAJUDIOS
31 . Clase
Importador
02
32 . Tipo declaración
Inicial
33 . Cod.
1
34 .No.Formulario Anterior
XXXXXXXXXXXXXX
35 . Año – Mes – Día
XXXX – XX – XX
36 . Cod. Admón.
XX
37 . Declaración de Exportación
No. XXXXXXXXXXXXXXX
38 . Año – Mes – Día
XXXX – XX – XX
39 . Cod. Admón.
XX
40 . Cod. lugar ingreso
de las mercancías
BOG
41 . Cod. Depósito
99900
42 . Manifiesto de carga
No. 116575014959050
43 . Año – Mes – Día
2024 – 11 – 09
44 . Documento de transporte
No. SHAN0354164
45 . Año – Mes – Día
2024 – 11 – 02
46 . Nombre exportador o proveedor en el exterior
SAMSUNG ELECTRONICS CO., LTD
47 . Ciudad
GYEONGGI-DO
48 . Cod.País Exportador
190
49 . Dirección exportador o proveedor en el exterior
129, SAMSUNG-RO, YEONGTONG-GU SUWON 16677
50 . E-mail
010-8705-6749
51 . No. de factura
9103002005
52 . Año – Mes – Día
2024 – 11 – 02
53 . Cod. país
procedencia
855
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
169
56 . Cod. Depto
destino
0
57 . Empresa transportadora
TAMPA CARGO S.A.S.
58 . Tasa de cambio $ cvs.
4.344.55
S 59 . Subpartida arancelaria
8517130000
60 . Cod.
Complementario
XX
61 . Cod.
Suplementario
XX
62 . Cod. Modalidad
C134
63 . No. cuotas
o meses
XX
64 . Valor cuota USD
XXXX
65 . Periodicidad del
pago de la cuota
XX
66 . Cod. país
de origen
855
67 . Cod. Acuerdo
XXX
68 . Forma de pago
de la importación
01
69 . Tipo de
importación
01
70 . Cod. país
compra
190
71 . Peso bruto kgs. dcms.
99.50
72 . Peso neto kgs. dcms.
91.54
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
300.00
78 .Valor FOB
USD
28.938.97
79 . Valor fletes USD
968.85 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
129.942.319
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
129.942.319
99
0
100
0
101
0.00
Salvaguardia
102
0.00
103
0
104
0
105
0
106
0.00
Derechos
Compensatorios
107
0.00
108
0
109
0
110
0
111
0.00
Derechos
Antidumping
112
0.00
113
0
114
0
115
0
116
0.00
Sancion
117
0
118
0
119
0
120
0
Rescate
121
0
122
0
123
0
124
0
Total 125
0
126
0.00
80 . Valor Seguros
USD
1.45
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
970.30
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
29.909.27
85 . Código registro
o licencia
X
86 . Número
XXXXXXXXXX
87 .
Cod.
oficina
99
88 . Año
XXXX
89 . Programa No
XXXXXXXXXX
90 . Cód Interno del
Producto
0
91 . Descripción de las mercancías(No inicie la descripción de las mercancías a importar con lo señalado en el arancel de aduanas en la subpartida arancelaria – Incluya marcas, seriales y otros) (Si el campo es insuficiente, continúe al respaldo de este formulario)
NAC: 537151-DECL: 1855445-DO: 893126456241- DECL 1 DE 1.- //NOS ACOGEMOS AL ARTICULO 424 DEL ESTATUTO TRIBUTARIO MODIFICADO POR L
A LEY 1819DEL 29/12/2016 ARTÍCULO 175 NUMERAL 6 (EXCLUSIÓN DEL IVA). //NOS ACOGEMOS AL ARTÍCULO 2.8.3.1 ORDINAL 2.8.3.1.4 DE LA R
ESOLUCIÓN 5050 DEL 10DE NOVIEMBRE DE 2016. (ANEXAMOS CERTIFICADO DE HOMOLOGACIÓN)/ NOS ACOGEMOS: AL DECRETO 0925 DE 2013, MERCANC
IA QUE NO REQUIERE REGISTRO DEIMPORTACION .SAMSUNG ELECTRONICS COLOMBIA S.A. OEA COD. OE0001. . PEDIDOS: 3077135568. ID DELIVERY:
6078831603. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A155MLBILTC, PRODUCTO: TELEFONO CELULAR GALAXY A15 5G DUOS, (CON ACCESORIOS
PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: AZUL CLARO, MODELO: SM-A155M/DSN, USO O DESTINO: PARA LA VENTA AL(continúa al respaldo)
127 . Valor pagos anteriores: 0 128 . Recibo oficial de pago anterior No.: XXXXXXXXXXXXXXX 129. Fecha: XXXX XX XX
130 . Espacio reservado DIAN – Actuación aduanera
Estado de levante: Levante automático
No hay declaración posterior
131 . Espacio reservado uso exclusivo Ministerio de Relaciones Exteriores 132 . No. Aceptación declaración
032024001575146
133. Feha: 202411 12
134 . Levante No. 032024001476724 135 . Fecha
2024 – 11 – 12
Firma funcionario responsable 136 . Nombre
137 . C.C. No.
Firma declarante 997 . Espacio exclusivo para el sello
de la entidad recaudadora
(Fecha efectiva de la transacción)
Coloque el timbre de la máquina
registradora al dorso de este formulario
980 . Pago Total $
0
996 . Espacio para autoadhesivo de la entidad recaudadora
(Número del adhesivo)
SYGA
Autoadhesivo 92032408408867
Fecha presentación 2024-11-12 16:53:13
Valor pagado $0.00
Fecha de Impresión: 2024-11-12 16:53:21
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001575146-6
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
MAYOR Y AL DETAL/ /MOBILE,SM-A155M/DSN,LIGHT BLUE,LTC( QTY. 300,00 u )(300,00 PCE);IMEIS: 353038371569230/358227701569235. 35303
8371729982/358227701729987. 353038371730097/358227701730092. 353038371870901/358227701870906. 353038371871586/358227701871581. 35
3038371909071/358227701909076. 353038371909386/358227701909381. 353038371909535/358227701909530. 353038371909642/358227701909647.
353038371909840/358227701909845. 353038371909899/358227701909894. 353038371909915/358227701909910. 353038371909964/3582277019099
69. 353038371910004/358227701910009. 353038371910236/358227701910231. 353038371910251/358227701910256. 353038371910285/3582277019
10280. 353038371910319/358227701910314. 353038371910327/358227701910322. 353038371910335/358227701910330. 353038371910343/3582277
01910348.353038371910350/358227701910355. 353038371910434/358227701910439. 353038371910459/358227701910454. 353038371910525/35822
7701910520. 353038371910541/358227701910546. 353038371910558/358227701910553. 353038371910 616/358227701910611. 353038371910624/3
58227701910629. 353038371910673/358227701910678. 353038371910699/358227701910694. 353038371912216/358227701912211. 35303837191227
3/358227701912278. 353038371913164/358227701913169. 353038371913594/358227701913599. 353038371914071/358227701914076. 35303837191
4147/358227701914142. 353038371914964/358227701914969.353038371915086/358227701915081. 353038371915219/358227701915214. 353038371
915920/358227701915925. 353038371915961/358227701915966. 353038371915979/358227701915974. 353038371915995/358227701915990. 353038
371916076/358227701916071. 353038371916084/358227701916089. 353038371916142/358227701916147. 353038371916159/358227701916154. 353
038371916167/358227701916162. 353038371916316/358227701916311. 353038371916423/358227701916428. 353038371916530/358227701916535.
353038371916548/358227701916543. 353038371916555/358227701916550. 353038371916597/358227701916592. 353038371916613/35822770191661
8. 353038371916654/358227701916659. 353038371916662/358227701916667. 353038371916696/358227701916691. 353038371916704/35822770191
6709. 353038371916720/358227701916725. 353038371916746/358227701916741. 353038371916803/358227701916808. 353038371916845/35822770
1916840. 353038371916886/358227701916881. 353038371916902/358227701916907. 353038371917140/358227701917145. 353038371918072/35822
7701918077. 353038371919435/358227701919430. 353038371919450/358227701919455. 353038371919476/358227701919471. 353038371919484/35
8227701919489. 353038371919492/358227701919497. 353038371919518/358227701919513. 353038371919542/358227701919547. 353038371919559
/358227701919554. 353038371920086/358227701920081. 353038371920284/358227701920289. 353038371920391/358227701920396. 353038371920
417/358227701920412. 353038371920516/358227701920511. 353038371920532/358227701920537. 353038371920540/358227701920545. 353038371
920599/358227701920594. 353038371920607/358227701920602. 353038371920656/358227701920651. 353038371920839/358227701920834. 353038
371920995/358227701920990. 353038371921043/358227701921048. 353038371921068/358227701921063. 353038371921084/358227701921089.3530
38371921092/358227701921097. 353038371921159/358227701921154. 353038371921209/358227701921204. 353038371921357/358227701921352. 3
53038371921365/358227701921360. 353038371921670/358227701921675. 353038371921704/358227701921709. 353038371922868/358227701922863
. 353038371923270/358227701923275. 353038371923700/358227701923705. 353038371925002/358227701925007. 353038371925135/358227701925
130. 353038371925440/358227701925445. 353038371925499/358227701925494. 353038371925788/358227701925783. 353038371926877/358227701
926872. 353038371927248/358227701927243.353038371928170/358227701928175. 353038371928394/358227701928399. 353038371928873/3582277
01928878. 353038371929145/358227701929140. 353038371929921/358227701929926. 353038371929954/358227701929959. 353038371930010/3582
27701930015. 353038371930051/358227701930056. 353038371930135/358227701930130. 353038371930200/358227701930205. 353038371930234/3
58227701930239. 353038371930242/358227701930247. 353038371930259/358227701930254. 353038371930291/358227701930296. 35303837193031
7/358227701930312. 353038371930333/358227701930338. 353038371930374/358227701930379. 353038371930416/358227701930411. 35303837193
0648/358227701930643. 353038371930804/358227701930809. 353038371930879/358227701930874. 353038371930887/358227701930882. 35303837
1930903/358227701930908. 353038371931083/358227701931088. 353038371931109/358227701931104. 353038371931133/358227701931138. 35303
8371931190/358227701931195. 353038371931240/358227701931245. 353038371931257/358227701931252. 353038371931331/358227701931336. 35
3038371931521/358227701931526. 353038371932511/358227701932516. 353038371933451/358227701933456. 353038371933519/358227701933514.
353038371933550/358227701933555. 353038371933683/358227701933688. 353038371933956/358227701933951. 353038371933980/3582277019339
85. 353038371933998/358227701933993. 353038371935324/358227701935329. 353038371936116/358227701936111. 353038371936124/3582277019
36129. 353038371937379/358227701937374. 353038371937387/358227701937382. 353038371937676/358227701937671. 353038371937684/3582277
01937689. 353038371937726/358227701937721. 353038371937759/358227701937754. 353038371937767/358227701937762. 353038371937775/3582
27701937770. 353038371938641/358227701938646. 353038371938963/358227701938968. 353038371940001/358227701940006.353038371940019/35
8227701940014. 353038371940118/358227701940113. 353038371940191/358227701940196. 353038371940233/358227701940238. 353038371940647
/358227701940642. 353038371940878/358227701940873. 353038371940894/358227701940899. 353038371940902/358227701940907. 353038371940
910/358227701940915. 353038371940969/358227701940964. 353038371941009/358227701941004. 353038371941025/358227701941020. 353038371
941033/358227701941038. 353038371941041/358227701941046. 353038371941058/358227701941053. 353038371941066/358227701941061. 353038
371941074/358227701941079.353038371941355/358227701941350. 353038371941678/358227701941673. 353038371941736/358227701941731. 3530
38371941769/358227701941764. 353038371941777/358227701941772. 353038371941785/358227701941780. 353038371941801/358227701941806. 3
53038371941843/358227701941848. 353038371941900/358227701941905. 353038371941918/358227701941913. 353038371941967/358227701941962
. 353038371941975/358227701941970. 353038371941983/358227701941988. 353038371942007/358227701942002. 353038371942056/358227701942
051. 353038371942080/358227701942085. 353038371942585/358227701942580. 353038371943203/358227701943208. 353038371943260/358227701
943265. 353038371943302/358227701943307. 353038371943484/358227701943489. 353038371943625/358227701943620. 353038371944888/358227
701944883. 353038371945026/358227701945021. 353038371945976/358227701945971. 353038371946065/358227701946060. 353038371946107/358
227701946102. 353038371946370/358227701946375. 353038371946479/358227701946474. 353038371946503/358227701946508. 353038371946529/
358227701946524. 353038371946552/358227701946557. 353038371946560/358227701946565. 353038371946610/358227701946615. 3530383719466
36/358227701946631. 353038371946644/358227701946649. 353038371946669/358227701946664. 353038371946685/358227701946680. 3530383719
46693/358227701946698. 353038371946701/358227701946706. 353038371946719/358227701946714. 353038371946735/358227701946730. 3530383
71946743/358227701946748. 353038371946750/358227701946755. 353038371946768/358227701946763. 353038371946784/358227701946789. 3530
38371946800/358227701946805. 353038371946818/358227701946813. 353038371946842/358227701946847. 353038371946883/358227701946888. 3
53038371946891/358227701946896. 353038371946909/358227701946904. 353038371946917/358227701946912.353038371946933/358227701946938.
353038371946974/358227701946979. 353038371947733/358227701947738. 353038371947782/358227701947787. 353038371947816/3582277019478
11. 353038371947832/358227701947837. 353038371947923/358227701947928. 353038371947964/358227701947969. 353038371948087/3582277019
48082. 353038371948103/358227701948108. 353038371948327/358227701948322. 353038371948426/358227701948421. 353038371948434/3582277
01948439. 353038371948459/358227701948454. 353038371948558/358227701948553. 353038371948582/358227701948587. 353038371948590/3582
27701948595.353038371948608/358227701948603. 353038371950216/358227701950211. 353038371951362/358227701951367. 353038371952337/35
8227701952332. 353038371953111/358227701953116. 353038371953152/358227701953157. 353038371953160/358227701953165. 353038371954036
/358227701954031. 353038371954044/358227701954049. 353038371954077/358227701954072. 353038371954085/358227701954080. 353038371954
135/358227701954130. 353038371954556/358227701954551. 353038371955983/358227701955988. 353038371956221/358227701956226. 353038371
956395/358227701956390. 353038371956569/358227701956564. 353038371956619/358227701956614. 353038371956627/358227701956622. 353038
371956759/358227701956754. 353038371956775/358227701956770. 353038371956783/358227701956788. 353038371956791/358227701956796. 353
038371956817/358227701956812. 353038371956825/358227701956820. 353038371956858/358227701956853. 353038371956874/358227701956879.
353038371956882/358227701956887. 353038371956890/358227701956895. 353038371956908/358227701956903. 353038371956916/35822770195691
1. 353038371956924/358227701956929. 353038371956932/358227701956937. 353038371956940/358227701956945. 353038371956957/35822770195
6952. 353038371956973/358227701956978. 353038371956981/358227701956986. 353038371957005/358227701957000. 353038371957013/35822770
1957018. 353038371957047/358227701957042. 353038371957070/358227701957075. 353038371957104/358227701957109. 353038371957112/35822
032024001575146-6
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001575146-6
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
7701957117. 353038371957120/358227701957125. 353038371957203/358227701957208. 353038371960421/358227701960426. 353038371961452/35
8227701961457. 353038371961478/358227701961473. 353038371961494/358227701961499. 353038371961510/358227701961515. 353038371961528
/358227701961523. 353038371961544/358227701961549XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032024001575146-6
Espacio para uso exclusivo de la Entidad Recaudadora
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